Pub. 6 2024 Issue 5

Employees must call the NHADA injury management facilitator, Marta Silakka, immediately after an injury occurs so that she can help the employee choose the best network provider based on the injury. Employers’ and employees’ knowledge of Managed Care and appropriate reporting requirements will ensure that they follow the appropriate protocol after an injury occurs and get off on the right foot immediately. NHADA members who are prepared to take injured workers back to work in advance of an injury will have the best outcomes after an injury occurs. NHADA’s claims staff can help members prepare for temporary alternate duty. We can also provide members with posters and tri-folds as needed and provide members with training on how best to educate and inform employees of the managed care and workers’ compensation process. WHEN COMPLETING THE EMPLOYERS FIRST REPORT OF INJURY (FORM 8WC), HOW SHOULD NHADA-WCT MEMBERS FILL OUT BOX #47? Box #47 reads “Managed Care Program Y or N. If yes, name provider.” The answer is yes, and the name of the provider is Windham Managed Care. Windham Managed Care is NHADA’s current managed care program, and we utilize their network of providers. The NHADA WCT Managed Care Program is successful because our members pay attention to following the appropriate protocols. Workplace injuries must be handled differently than personal health conditions. The employee’s primary care physician is there to treat non-work-related conditions. Our managed care network physicians understand the importance of prompt treatment and prompt referrals to specialty providers to maximize healing and resumption of activities in and out of work. Emergency rooms must be reserved for life-threatening injuries. Most injuries can be treated at urgent care centers such as ConvenientMD, and if necessary, they will refer to the emergency room or a higher level of specialty. Remember, a call to our injury management facilitator, Marta Silakka, immediately after an injury occurs at (800) 852-3372 is the best way to begin the workers’ comp. process. NHADA members who are prepared to take injured workers back to work in advance of an injury will have the best outcomes after an injury occurs. 13

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